Consumerism increases retail opportunities and access to coverage and care

Spurred on by the Affordable Care Act, retailers, health plans and providers are staking strong retail positions that are increasing coverage opportunities and access to care. » Full article

Special Report

Engaging members for better health and lower costs

Public and private insurers are seizing the opportunity to devise programs that promote preventive care and positive behaviors.
» Full article

Feature Articles

Demand for price transparency grows

The lack of price transparency in healthcare is becoming a bigger issue as consumers with high deductibles try to manage the cost of their care. » Full article

Drug utilization rates higher for exchange members

Two recent studies show that members who obtain health insurance through state or federal insurance exchanges use more specialty and generic drugs than their counterparts in commercial plans. » Full article

Attracting and retaining talent for a new model

With a consumer-oriented health insurance industry evolving amidst landmark regulatory and technological changes, insurance plans need skills that have never before been demanded.
» Full article

With crises in the past, exchanges now need improvements

As healthcare reform enters its second year, insurers and exchange vendors complain that interoperability continues to plague the carrier-facing side of federal and state exchanges.
» Full article

Wellness programs increase as designs become more diverse

The percentage of employers and plans offering wellness incentives is steadily rising, and program designs are becoming more diverse.
» Full article

Department Articles

For Your Benefit

Payers recognize a growing need for more comprehensive payment methodologies that adequately represent the true market cost of health services. » Full article

Letter of the Law

The Centers for Medicare and Medicaid Services recently issued a final rule that updates requirements and strengthens program integrity efforts. » Full article

Politics and Policy

The medical device tax is one of a list of ACA initiatives that have been targeted for repeal by the new GOP Senate. » Full article

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